Organization
INTEGRATIVE PALLIATIVE CARE, PLLC
Active
Organization
INTEGRATIVE PALLIATIVE CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN ARTHUR CLIFFORD M.D. (MEMBER)
(208) 473-1348
Entity
Organization
Contact information
Practice address
1015 W HAYS ST, SUITE 6, BOISE, ID 83702-5424
(208) 473-1348
Mailing address
1015 W HAYS ST, SUITE 6, BOISE, ID 83702-5424
(208) 473-1348
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
M5398
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1568500700
—
ID
Enumeration date
09/23/2016
Last updated
09/23/2016
Update your record
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